SERENA KATHRYN MOORE (NPI# 1851729099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851729099 |
| Entity Type | Individual |
| Full Name | SERENA KATHRYN MOORE |
| Credential | LMSW |
| Practice Address |
5583 N Glenwood St Garden City ID 83714-1336 |
| Practice Telephone | 2082872564 |
| Practice Fax Number | 2082872570 |
| Mailing Telephone | 2082872564 |
| Mailing Fax Number | 2082872570 |
| Enumeration Date | 2013-10-25 |
| Last Update Date | 2013-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LMSW-33263 | ID | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 1740559541 | 05 |
| Street Address |
5583 N GLENWOOD ST |
| City | GARDEN CITY |
| State | ID |
| Zip Code | 83714-1336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740559541 | Aces Inc. | Case Management | 5583 N Glenwood St, Garden City, ID 83714-1336 | 2011-12-22 |
| 1710358486 | Bradley A Miller | Social Worker | 5583 N Glenwood St, Garden City, ID 83714-1336 | 2015-10-07 |
| 1700284700 | Dana Arellanes | Counselor | 5583 N Glenwood St, Garden City, ID 83714-1336 | 2014-12-08 |
| 1346642105 | Amy Absalonson | Counselor | 5583 N Glenwood St, Garden City, ID 83714-1336 | 2014-09-23 |
| 1497156590 | Chrisean Christopher | Counselor | 5583 N Glenwood St, Garden City, ID 83714-1336 | 2014-09-08 |
| 1396163275 | Aces, Inc | Community/Behavioral Health | 5583 N Glenwood St, Garden City, ID 83714-1336 | 2014-03-28 |
| 1922433085 | Rachel Briggs | Counselor | 5583 N Glenwood St, Garden City, ID 83714-1336 | 2013-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932683752 | Ikdo State Street LLC | Dentist | 9209 W State St, Garden City, ID 83714 | 2018-09-18 |
| 1437608007 | Carrie Boroughs Breaux | Ophthalmology | 5019 N Sawyer Ave, Garden City, ID 83714 | 2016-09-23 |
| 1841646007 | Alliance Medical Group, LLC | Family Medicine | 5601 W. Chinden Blvd., Garden City, ID 83714 | 2016-05-06 |
| 1134580467 | Rebecca Gillet | Physical Therapist | 6576 W Dufferin Ct, Boise, ID 83714 | 2016-03-15 |
| 1063816007 | Ingri Suzanne Koloski | Counselor | 8969 West Hepburn Lane, Garden City, ID 83714 | 2014-10-20 |
| 1679909329 | Anile Nina | Counselor | 5484 N Gary Lane, Boise, ID 83714 | 2013-09-25 |
| 1215360292 | William Blake Bybee | Dentist | 5833 W. Hidden Springs Dr., Boise, ID 83714 | 2013-08-14 |
| 1871833327 | Charmaine Read | Social Worker | 123 E. 44th St, Ste. A, Garden City, ID 83714 | 2013-02-20 |
| 1811206576 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 5220 Sawyer Court, Suite D, Garden City, ID 83714 | 2010-09-29 |
| 1073780680 | Barry Lynn Williams | Pharmacist | 7020 W State Street, Boise, ID 83714 | 2008-05-13 |
| Find all providers in zip 83714 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255955845 | Joy Fullhardt | Social Worker | 35 Prescott St, Garden City, NY 11530-1736 | 2020-05-30 |
| 1568015048 | Anchors of Hope, LLC | Social Worker | 2901 N 8th St, Garden City, KS 67846-2711 | 2019-07-23 |
| 1326504713 | Jennifer L Zielinski | Social Worker | 4950 N Bradley St, Garden City, ID 83714-1478 | 2019-02-11 |
| 1710451919 | Barbara Massina | Social Worker | 520 Franklin Ave Ste 110, Garden City, NY 11530-5814 | 2019-01-22 |
| 1821567934 | Inspiring Change Counseling Services, LLC | Social Worker | 1511 E Fulton Ter Ste 2, Garden City, KS 67846-6165 | 2018-11-19 |
| 1295278646 | Michele Bashkin | Social Worker | 520 Franklin Ave Ste L1, Garden City, NY 11530 | 2016-12-01 |
| 1386045722 | Kristen Chianese | Social Worker | 520 Franklin Avenue L3, Garden City, NY 11530 | 2014-09-04 |
| 1972921963 | Elana Friedman | Social Worker | 233 7th St Ste 200, Garden City, NY 11530 | 2014-04-07 |
| 1972927689 | Barbara Froehlich-stapleton Lpc Lmsw Pllc | Social Worker | 31530 Beechwood St, Garden City, MI 48135-1935 | 2014-02-17 |
| 1760810154 | Linda Kathelene Bowen | Social Worker | 123 E 44th St Ste A, Garden City, ID 83714-5008 | 2013-10-22 |
| Find all providers in GARDEN CITY | ||||
| City | GARDEN CITY |
| Zip Code | 83714 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.